20070612073011.pdfREQUEST FOR TEMPORARY OCCUPANCY FORM
Project Name_
Project Address
Person Requesting Temporary Occupancy
(Note only the property owner or building owner may request temporary occupancy) (Print Name)
Today's Date _ Date Temporary Occupancy Needed 41 — 67
Check the box indicating that the noted items are complete on site. All fire and life -safety
requirements for Building, Fire and Engineering shall be complete in order for Temporary
Occupancy to be considered. List any specific item that is missing and indicate the date when it
will be provided
I. All building windows, exterior siding, roof, and exterior doors are
installed/complete.
Missing:
2. i All required fire rated construction (floor/ceiling, walls & unit separations, etc.)
and structural members (columns, beams, etc.) are complete.
Missing:
3. K All required fire protections systems are complete and in full operation, including
fire sprinkler, fire alarm, standpipes, fire and smoke detection, fire suppression, etc.).
Annunciation and/or notification equipment is installed and is operational.
Missing:
4. X All required components of the means of egress system shall be complete and
operable, including but not limited to exit enclosures/corridors, fire rated doors and windows,
door hardware, illuminated exit signage, and emergency lighting, stair handrails, guardrails, etc.
Missing: ay/v-_
5. f Accessible signage, accessible parking, ramps,. and directional signage is
installed.
Missing:
6. All interior finish materials on floors and walls are complete..
Missing: z�
7. kf The number parking spaces on-site striped are including accessible
parking space(s)-
Missing:
8. Circle.1be followin utili ' that are complet (sto Ovate sewer
at g ectric ,
o abl and arbage/recyclin
Missing:
9. Required cross connection protection of the potable water system installed for
premise isolation and all required interior fixtures.
Missing:
10. Jk,, Specify the unit numbers; ten t spaces or floors requesting occupancy.
1 L For multifamily or mixed use buildings, submit a written statement of how
continued construction and occupant co -existence will be achieved. 5 A777V- w,W X1Z4XWW1,V1W Z-6 ,
12. ❑ Attach a site plan showing the following:
• How Fire Department access will be maintained.
• Location of construction worker parking (on street parking shall be regulated
by Parking Enforcement and will be subject to applicable fines).
• Construction material storage.
• How safe tenant access will be maintained to the spaces/areas where
temporary occupancy is being requested.
• How required parking will be kept clear of construction worker parking and
material storage.
• How garbage access will be maintained clear and accessible.
• A work schedule detailing completion of the remainder of the project and
estimated date for request for Certificate of Occupancy for the entire building_
13. ❑ The State Electrical Inspector has approved service.
Missing:
14. ❑ Elevator service has been approved by the State Inspector.
15. ❑ Snohomish County Health District approval has been granted.
16. ❑ Plumbing systems are complete.
Missing: -
17. Mechanical and HVAC systems are complete.
Missing,-
18.
issing:
18.�Jt' Address numbers posted; occupant load signs posted, accessible signage is posted.
Missing: r 4:�
19. Er For buildings containing more than two units, submit the Building Enclosure
letter required by HB 1848. N,67" AUAaW j /-V ",OX 6 OW -b
20. ,[ Attach a work schedule detailing the remaining work on the project and include a
final completion date.
CITY CONDITIONS OF TEMPORARY OCCUPANCY
If temporary occupancy is granted, the City will condition requests with the following:
1. The maximum time allowed for temporary occupancy (final building completion) shall not
exceed 60 days.
2. All performance bonds for the entire project shall be held until final occupancy for all
portions of the building are granted.
3. Partial occupancy inspection fees for each inspecting Department shall be assessed at the
established hourly rate. if the requestor desires a preliminary inspection in preparation of the
Temporary Occupancy additional hourly inspection fees will be charged.
4. All tenant complaints (inconvenience, noise, parking, dust, etc.) must be resolved by the
building owner. Repeated complaints may result in revocation of the temporary occupancy
approval.
5. All required permits have been obtained from the City, all outstanding permit fees, review
fees, inspection fees, etc. have been paid in full.
6. Granting of the temporary occupancy does not waive Building Official or Fire Marshal
authority to revoke occupancy at any time for cause and immediate enforcement action may
betaken.
7. if the building is not complete within 60 days a new request for temporary occupancy must
be requested and all new inspection fees shall be collected; failure to comply shall result in a.
Notice of Vacation.
BY Effective Date•_
Building Official
0
City of Edmonds
2nd floor Building Dept
121 Fifth Ave. North
Edmonds, WA. 98020
425-771-0240
MILLENNIUM
BUILDING COMPANY
Re: Temp Cert of Occupancy on 6-18-07
To Whom it may concern,
6-8-07
There are two purposes for this request of TCO: 1) Aegis Living would like to start training some
of their staff onsite. 2) Aegis would like to start the process with the State Health Dept. There
will be NO tenants living onsite during this TCO. We presume, by the attached provided
schedule, that the completion date will only be a week away from the requested TCO.
Michael Suess
Project Manager
Millennium Building Company
RECEIVED
JUN 1 1 �w,
BUILDING DEPS',
209 Dayton Street, Suite 105, Edmonds, Washington 98020
T 425.775.7255 1 F 425.775.6602 1 E into@millbuild.com I www.millbuild.com
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RECEIVED
J U N 1 1 2001
BUILDING DEPT
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